26D1018596 CLIA NUMBER - ST JOSEPH CBOC

Laboratory Demographics

  • CLIA Code: 26D1018596
  • Facility Name: ST JOSEPH CBOC
  • Facility Address: 4782 SIENNA DRIVE
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 913 682-2000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DANIEL DIM
  • NPI Number: 1932141009
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1018596
LAB Type Community Clinic
Facility Name ST JOSEPH CBOC
Street 4782 SIENNA DRIVE
City SAINT JOSEPH
State MO
ZIP 64506
Phone 913 682-2000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/27/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DANIEL DIM

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This page was last updated on: 9/29/2025